DIANE KIMBALL

SANFORD, FL
NPI1164884888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH 13400)
Enumeration Date2016-03-22
Last Update Date2016-03-22
Business Address
-- DIANE KIMBALL
5467 RONALD REAGAN BLVD
SANFORD, FL 32773-6332
Phone number: 407-324-3036
Mailing Address
-- DIANE KIMBALL
5467 RONALD REAGAN BLVD
SANFORD, FL 32773-6332
Phone number: 407-324-3036
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